| NPI | 1497825707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AK 679) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ AP0818) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2008-06-20 |